PAUL R BOYT Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****75

License Status

NOT RENEWED

Business

First Name

PAUL R

Last Name

BOYT

Business Name

PAUL R BOYT

Original Issue Date

11/29/2000

Effective Date

06/04/2004

Expiration Date

03/31/2004

City

HARRISBURG

State

Zip

62946

County

SALINE

Specialty/Qualifier

Practitioner

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

01/18/2006